Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.05 / $5,220.64 / $13,320.00	Facility		$489.05	$5,220.64	$13,320.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $224.46 / $272.14 / $822.94	Facility	52	$224.46	$272.14	$822.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.46 / $662.39 / $1,552.21	Professional		$224.46	$662.39	$1,552.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,975.18 / $1,975.18 / $2,341.30	Facility		$1,975.18	$1,975.18	$2,341.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.39 / $650.01 / $1,944.12	Professional		$331.39	$650.01	$1,944.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $418.70 / $615.16 / $1,755.31	Professional		$418.70	$615.16	$1,755.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $322.95 / $726.66 / $1,870.00	Facility		$322.95	$726.66	$1,870.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $376.43 / $1,025.72 / $1,846.29	Professional		$376.43	$1,025.72	$1,846.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $449.37 / $1,295.82 / $1,458.59	Facility		$449.37	$1,295.82	$1,458.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $334.85 / $825.75 / $1,889.54	Facility		$334.85	$825.75	$1,889.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $423.77 / $935.83 / $1,926.75	Professional		$423.77	$935.83	$1,926.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,389.68 / $5,951.19 / $7,123.24	Facility		$4,389.68	$5,951.19	$7,123.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $425.34 / $1,219.21 / $1,951.57	Professional		$425.34	$1,219.21	$1,951.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,012.99 / $1,439.84 / $2,281.28	Professional		$1,012.99	$1,439.84	$2,281.28